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Based on observation and a tour of the facility, all drugs and biologicals were not kept in a secure area and locked when appropriate.

Findings were:

During a tour of the patient care unit on 1-19-11, the door to one of one medication room was found unlocked.

During a tour of the patient care unit on 1-19-11, one of one medication refrigerator (inside the unlocked medication room) was found unlocked.

During a tour of the patient care unit on 1-19-11, three of three drawers (inside the unlocked medication room) containing patient medication were found unsecured.

The above was confirmed in an interview with the Chief Nursing Officer and the Director of Nursing on the afternoon of 1-19-11 in the office of the Director of Nursing.

Based on observation and a tour of the facility, the condition of the physical plant and the overall hospital environment was not maintained in such a manner that the safety and well-being of patients was assured.

Findings were:

During a tour of the patient care unit on 1-19-11, cracked floor tiles were observed in the flooring in the hallway in front of the dirty utility room.

During a tour of the patient care unit on 1-19-11, cracked floor tiles were observed in the flooring in the hallway in front of the physician ' s dictation room.

During a tour of the patient care unit on 1-19-11, a continuous water stream was noted in the sink in patient room #5.

During a tour of the patient care unit on 1-19-11, buckled wallpaper was noted on one wall of the toilet/shower room in patient room #5.

During a tour of the patient care unit on 1-19-11, large, dirty gaps between the flooring tiles were noted in patient room #6.

During a tour of the patient care unit on 1-19-11, a section of molding that had pulled away from the wall was noted in patient room #6.

During a tour of the patient care unit on 1-19-11, a large, dirty crack/gap was noted in the flooring tiles beneath the heating/AC unit in patient room #13.

During a tour of the emergency department on 1-19-11, an approximate 1 ? foot split was noted in the flooring of exam room #3.

During a tour of the emergency department on 1-19-11, a large gap was noted in the flooring in the doorway of exam room #2.

During a tour of the surgical area on 1-19-11, 4 opened packages of previously sterile endotracheal tubes were found available for use in the pediatric anesthesia cart.

During a tour of the surgical area on 1-19-11, a large gouge was noted in one wall of operating suite #2.

During a tour of the surgical area on 1-19-11, a heavy layer of rust was noted on the base of the operating room table in operating suite #2.

The above was confirmed in an interview with the Chief Nursing Officer and the Director of Nursing on the afternoon of 1-19-11 in the office of the Director of Nursing.